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how do you change pm doctors?
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how do you change pm doctors?

i have degeneration in my lower back and my neck is messed up *the doctor has never explained what is wrong with my neck*  i also have a central nervous disorder...which my pm doctor wouldn't even help me diagnose, he just took 2 blood test and then told me bc they came back negative there was nothing he could do, its my body figure it out myself thats what he told me... so i did...but i don't feel as if this doctor wants to help me, does anyone know how to switch docs? do i need to go through my doctor or can i call around bc i am already in pain managment? anyones thoughts would be wonderful
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198154_tn?1337790865
you usually have to have a referral from your PCP to a PM Dr.

The way I understand it,  the PM Dr is not there to diagnose your problems.  By the time you've gotten to PM you've been through al the surgeries and physical therapy and just depend on pain meds to get through the day.

I would ask my PCP for help.

Good Luck
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Avatar_f_tn
Hello! Sorry to hear about your trouble with your pm doc. It is very hard to find good docs these days in any field. Or at least ones that care. I am having the same problem. I do work for a pain management practice in my city. We do not require a referral from a doc. Anyone can call us and make an appointment. But, other pm's in town do require a referral. If you have a PCP, call there nurse and explain your unhappiness with the pm doc and see if they can refer you to someone else. I do have to agree with TrayCee on the fact that, patients should be diagnosed before coming to a pm doc. Our docs will see patients who are not dx but I don't completely agree with that. Has anyone sent you for an MRI? Have you ever been to a Neuro Surgeon? With the neck issue and the central nervous system issue.....I would have you start with a Neuro Surgeon. Usually, in most neuro practices, they have a pm doc or can manage your pain issues. I hope this helps. Good Luck!
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Avatar_m_tn
i wasn't diagnosed with my back or neck problems either before i went to him, we just knew that they were screwed up...that is why i assumed he would be able to help me with my legs, arms, headaches, weakness, and sleep issues...and i would have understood if he just said look you have to see someone else first but his EXACT words were "its your body figure it out for yourself." then he said i will see you in 2 months got up and walked out.... i feel as if i am already going through my own personal hell... i really do not need  a doctor - someone who i supposed to be helping me- acting like that toward me... the least he could have done was say okay you need to see a rheumatologist or you need to talk to your doctor about this... or anything than what he did... it was horrible....and it made me feel horrible and it seems as if the more stress the worse i feel...and that did completely stress me out i went to my car and bawled and with this weather being so cold i hurt 10x worse....maybe i am wrong for feeling this way.. but.. i would just rather switch doctors bc i really do not feel as if this pm doctor wants to help me...i wont say anything but there are a lot of things he has done that are rather bothersome and i don't really want to speak negatively to my family doctor about him bc he speaks of him as if they are friends...so i wish there was just some way i could switch myself.... i know he will ask why if i tell him i want to switch and...from my experience and what i have heard if you speak negatively about one doctor suddenly none of them like you anymore... all i want is someone who truly wants to help me find out what is wrong with me and what is going on... someone who wants to work with me to fix whatever is going on... that is all.... i want to have my life back the way it was and maybe it won't be exactly like it was but anything would be better than what i am going through on a daily basis now...isnt that what all doctors are supposed to be here for??????  i wouldn't be a doctor if i didn't want to help everyone... i realize there are ppl out there that lie and everything else but not everyone lies just to get these drugs its not funny and its not a game....i would never ever lie about any of this... i don't drink the only thing i have ever taken up until this point in my life was tylenol and ibuprofen i don't do drugs except the ones prescribed....i'm just miffed....sorry thankyou for letting me vent... i just want someone to help me...
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198154_tn?1337790865
I would check with your GP to find out whats causing your pain.  If you require pain meds I would ask for a new PM Dr.

Good Luck!
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Avatar_m_tn
i am actually on pain med i take lortab 10/5 and parafon forte 500 mg  and they do help my back and my neck somewhat but not my arms, legs, headaches and the rest of me, they don't help my sleep bc i wake up all the time with my hands and elbows feeling like needles are being shoved through them, my legs are restless of a night, and my knees ache....my regular doctor thinks i need to lose weight and i'm not even that over weight! so i made a appointment with a rheumatologist bc my sister inlaw is a going into her internship she just graduated med school and she said that is who i needed to see... so i called and made a appointment and FINALLY someones REALLY listened to me.... i felt so thankful he listened and asked questions and checked my neck, and back *which my pm has NEVER done*  and checked my elbows feet, etc but that was the first appointment i dont' want to go asking him to switch my pm...so i just want to switch myself if i can....
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547368_tn?1332173665
Hi Zoe,

Between your two post I am trying to understand your situation. I thought based on your other post that a physician was investigating your CNS Disease/Disorder. Now that I read this that does not seem to be the case.

If a Rheumatologist told you that you have a CNS problem than I would return to that physician and let him/her do further investigative studies?  Or find another Rheumatologist and ask for their assistance.

In my state PMP do not even prescribe opiates. It is the PCP that follows and prescribes for their PM patients.  So I cannot help you a lot with suggestions on a PMP. I would assume they are like any other physician. If you are dissatisfied with the treatment than request a referral to another PM Clinic from your PCP. That would certainly be what I would do.

Some Physicians seem to forget that in all actuality they are service providers. Granted well educated, professionals, but service providers none the less. We hire them to provide a service for us just like a plumber or a carpet or an electrician. If they do not perform to our expectations we fire plumbers and electricians. I do the same with Physicians.

To some degree your PMP was correct in regards to it is your body. However his words were rude and out of line. But no one cares about our health as much as we do so please search for the answers to your CNS issues.  

Again please keep in touch and let us know how you are doing.

Peace,
Tuck
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198154_tn?1337790865
  I am also somewhat confused...

Your GP or a Specialist (Rheumatologist) is suppose  "checked my neck, and back", not a PM Dr.
and, to be clear, youre seeing a PM Dr. and hes only prescribing a muscle relaxer?  Do you take anything for actual pain?

In my area you HAVE to have a referral from your GP to a PM Dr. to even get an appt.  So you cant just switch yourself.  I'm sure this is not the case everywhere. You could call around to PM Dr's in your area and just ask to make an appt.

So sorry your having such a hard time.  I've totally been there.

Good Luck!

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Avatar_m_tn
i am going back to the rheumatologist he is the one who is investigating my cns as i said before i have to go back and give him 10-12 blood test and xrays, then he said he should have a pretty clear understanding f what is happening in my body as i said before he believes it is a cns disorder in which my body is sending msgs back and forth telling my body that its hurting when really there is not logical reason for me to hurt, i just hurt.... all i was saying about my pain management doctor (who is prescribing me lortab as i said before which is a pain killer and parafon forte which is a muscle relaxer) is i don't understand why he had to be so rude why couldn't he just say look you need to see a rheumatologist, or you need to discuss this with your family doctor or whatever ANYTHING other than what he did say which was rude and i do know my body better than anyone, which is why i went to these doctors and began trying to find out what is wrong with me because I KNOW SOMETHING IS WRONG however i am not a doctor, so i do not have the information they do as to diagnosing or even fixing my problems which is why we go to them, right? to be diagnosed to be treated and helped...which is why i do not like my pain managment doctor because he was rude for no reason and i just find that to be unethical and mean and that is not the type of doctor i need right now i need a doctor whos gonna give a crap about me no matter how crazy my symptoms are....sorry i was confusing before i am just dealing with a lot and i was and am just venting i guess... my life is just rough right now and i'm so very tired of hurting...and tired of being tired... as i am sure you guys understand so once again thank you for listening and sorry

zoe
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Avatar_m_tn
sorry i forgot to mention this on the above post, but i was speaking of the pain management doctor, he is the one who diagnosed my back and neck which is why i thought he could help me with the rest of it, but i was wrong
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547368_tn?1332173665
Hi Zoe,

Thanks for clarifying up your question. I am not always clear either. I think it's part of the pain and add in your anger and it's no wonder we aren't always clear.

You do not have to tolerate rudeness and indifference. Your PMP was out of line. Again I encourage you to find a different PMP. If you need a referral please ask for one. Explain what occurred to your PCP.

I have been treated the same by many physicians. About five years ago a Neurologist laughingly told me that there was nothing wrong with me. My pain was imagined. He said my DO did not have the expertise to diagnosis anything. He than called me a liar when I said I had never had an MRI of my spine. He reluctantly ordered an MRI than rudely dismissed me. When the MRI came back with 18 various types of cysts on the nerve roots of my spine and other issues he called me immediately. He had an urgent tone telling me I had to be seen a neurosurgeon right away. He had already made an appointment with his partner. I declined the appointment and said, "I don't want to have a consult with anyone associate with you. My doctor and I told you their was something wrong with me and you laughed at her and my pain. I refuse to be treated in a condescendingly rude manner again."  I promptly huge up the phone. I never saw him again.

So it happens to all of us. The number of "things" I have wrong with me are too many too list. That neurologist has a God Complex as is unfortunately true with other physicians. It's up to us, their patients to send the message load and clear that we will not tolerate their poor treatment, especially when we pay them.

Good luck to you. I hope you'll keep us informed of your progress.
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Avatar_m_tn
Thank you for understanding....i, in no way, mean to be rude to anyone... i'm not just mad at the doctor, i am mad at life right now i guess... does that make sense? my rheumatologist sent me a letter telling me that he believes i have a cns disorder which is fms...he also believes i am moderately depressed and have a sleeping problem but he said the depression and the sleeping comes from the fms.... he wants to work with my regular doctor which he also sent a letter to, but my family doctor has not responded to me and it has been a week now.... i have even called his office....i do not know what to do anymore... i am going to take the papers into my pain management doctor in hopes that he will change his tone, but i do not count on anything anymore... i feel so alone...  no one in my family understands...  if it werent for my son i would just give up... i know that is horrible... but i imagine everyone on here has felt this way sometime or another... i was thinking of looking for a doctor that treats fms around here... but i honestly do not know what to do.... i am truly sorry to hear of your struggles no one should ever have to go through the things any of us on here have dealt with.... i keep praying...but there seems to be no end.... thank you for always listening that is probably the greatest gift anyone could give me at this point in my life...

zoe
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